Remote Insurance Verification & Authorization Specialist

Urology Clinics Of North Texas

Mesquite (TX)

Remote

USD 55,000 - 75,000

Full time

7 days ago
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Benefits offered by this job

Remote work after training
Hands-on training
Competitive pay
Benefits package (medical/dental/ret)

Job summary

Urology Clinics Of North Texas is seeking a Surgery Verification Specialist to verify insurance benefits, secure prior authorizations, and ensure patient surgeries are scheduled with confirmed coverage. This role protects patient care and practice reimbursement.

The position starts with 8–12 weeks of on-site training in Mesquite, TX, then transitions to remote full-time work. You will collaborate with schedulers, providers, patients and payers, maintaining accurate documentation in our EHR and

Qualifications

  • High school diploma or GED required.
  • 2+ years in insurance verification, prior authorizations or medical billing.
  • Working knowledge of CPT, HCPCS, ICD-10 and medical terminology.
  • Experience with commercial, Medicare, Medicare Advantage and Medicaid payers.
  • Comfort with payer portals, EHR systems and Microsoft Office.
  • Strong attention to detail and ability to manage a high volume of cases by deadline.
  • Must be able to attend 8-12 weeks of in-office training in Mesquite, TX.

Responsibilities

  • Verify insurance eligibility and benefits for scheduled surgeries, in-office procedures, and hospital and surgery center cases.
  • Obtain and track prior authorizations through payer portals, phone and fax until approved.
  • Review CPT and ICD-10 codes on surgery orders and partner with providers to resolve discrepancies.
  • Submit supporting clinical documentation that meets payer requirements.
  • Coordinate with schedulers when an authorization is pending, denied or expired, and help with peer‑to‑peer requests and pre‑service appeals.
  • Prepare patient cost estimates and explain financial responsibility clearly and kindly.
  • Document all activity accurately in our EHR and practice management system.

Skills

Insurance verification
Prior authorization
CPT/HCPCS/ICD-10
Payer portals
EHR systems
Microsoft Office
Attention to detail
Remote work readiness

Education

High school diploma or GED
Associate degree in healthcare administration

Tools

EHR systems
Microsoft Office

Job description

Urology Clinics Of North Texas is seeking a Surgery Verification Specialist to verify insurance benefits, secure prior authorizations, and ensure patient surgeries are scheduled with confirmed coverage. This role protects patient care and practice reimbursement.

The position starts with 8–12 weeks of on-site training in Mesquite, TX, then transitions to remote full-time work. You will collaborate with schedulers, providers, patients and payers, maintaining accurate documentation in our EHR and

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